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Nigeria is a country located in western part of the African continent, the capital is Abuja. It has a population of about 190.9 million people. There are several dialects throughout the country, but the three major languages are that are spoken Hausa, Igbo, and Yoruba. Education and business are conducted in English. Nigeria is rich in produce and natural resources such as crude oil. The healthcare system was introduced by the government many years ago during the colonial era, but there where so many different factors that affected the effectiveness of the system, such as traditional healers, finances, availability of providers, inadequate infrastructure and roads. But the system today is available despite all the challenges.

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It is a three- tier system which delivers healthcare in the country; federal, state and local governments and the private facilities. The federal Medical Centers also called tertiary healthcare, state government controls the various general hospitals (secondary healthcare), and local government’s focus is on the dispensaries (primary healthcare), which are regulated by the federal government.

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4. National Health Insurance Scheme (NHIS)

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4. National Health Insurance Scheme (NHIS)

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National Health Insurance Scheme (NHIS) was introduced in Nigeria in 1962. Those that worked in public service where mandated to join the NHIS. It died during the civil war in Nigeria, and later re-enacted by the current president back in 1984.

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Nation Health Insurance Scheme (NHIS) help with the financing of the healthcare and the government stipulates how the money is to be used to provide healthcare for the people. By which some of the funding goes into providing vaccinations and providing mosquito nets. Funding is not only by the NHIS but by other sources such as tax-based public sector healthcare financing, household out of pocket (OOP) Health Expenditure, private sector (Donor funding), and community-based health financing (CBHF). This is also done in other countries around the globe. Examples of private funding are UNICEF, WHO.

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Records have shown that about 6 million Nigerians have so far enjoyed the scheme.The highest number of enrollees in the NHIS have come from those working in the public sector of the federal civil service.

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Health News: Health Care Financing In Nigeria

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Poor allocation of the funds by the federal government by the health sector, as we know the NHIS is a policy component of the healthcare delivery system in Nigeria, inadequate physicians in the country, shortage of drugs, poor attitudes of health workers, dilapidated infrastructures, no facilities in the rural areas. The biggest of all challenges is having a centralized information system for healthcare centers. These challenges play a huge role in a healthcare system.

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An increase is shown in the utilization of the of the health care facilities in the states that are aware of the program, there is continued and ongoing education about the program.

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This is a government funded hospital

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Increasing public health to all citizens of the nation especially those in the rural areas and the unemployed. Providing a better education plan for the medical providers and encouraging continuing education. Standardization health care systems, by looking at other countries in Africa and modeling it to the needs of the country

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State and Local government should be more accountable for the health care system in their jurisdiction in order to be able to provide a good and effective healthcare system for all by better transparency, and accountability